ANGELICA MORAN MD Medical Doctor License verification

Business Entity

TERMINATED CARD RETURNED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073611

License Status

TERMINATED CARD RETURNED

Business

Title

First Name

ANGELICA

Last Name

MORAN

Business Name

ANGELICA MORAN MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2022

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

04/30/2019